Organization
REHAB-BACK CARE INSTITUTE OF WEST TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID MEHAFFEY DC (OWNER)
(432) 332-3388
Entity
Organization
Contact information
Practice address
1030 N GRANDVIEW AVE, ODESSA, TX 79761-3149
(432) 332-3388
(432) 332-3390
Mailing address
1030 N GRANDVIEW AVE, ODESSA, TX 79761-3149
(432) 332-3388
(432) 332-3390
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
DC5710
TX
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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